NPIMap

Organization Active NPI

Acorn and Oak Inc

  • Clinic/Center
  • Coconut Creek, FL
National Provider Identifier
1104354224
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
SA15420 Issued in FL
Legal business name
ACORN AND OAK INC
Practice address
5485 Wiles Rd Ste 402
Coconut Creek, FL 33073-4221
Phone
(954) 621-3669
NPI assigned
Jun 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melody Erez, MS CCC-SLPNPI 1295263317
Title
Owner
Phone
(954) 803-5559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA15420 FL
Clinic/Center 261Q00000X SA15420 FL Primary

Addresses

Primary practice location

5485 Wiles Rd Ste 402
Coconut Creek, FL 33073-4221

Mailing address

5485 Wiles Rd Ste 402
Coconut Creek, FL 33073-4221
Phone (954) 621-3669

National Provider Directory

National Provider Directory

Locations

5485 Wiles Rd
Ste 402
Coconut Creek, FL 33073
Phone (954) 621-3669

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104354224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 WILES RD STE 402",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734221",
            "telephone_number": "954-621-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 WILES RD STE 402",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734221",
            "telephone_number": "954-621-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN AND OAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EREZ",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-803-5559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15420",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "SA15420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.